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1609532951
IDRIS FASINRO
WHITE PLAINS, NY
NPI
1609532951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 345588)
Enumeration Date
2021-11-11
Last Update Date
2021-11-11
Business Address
IDRIS FASINRO
50 DEKALB AVE APT E6
WHITE PLAINS, NY 10605-1446
Phone number: 646-457-9043
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Mailing Address
IDRIS FASINRO
50 DEKALB AVE APT E6
WHITE PLAINS, NY 10605-1446
Phone number: 646-457-9043
Copy
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